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美國精神醫(yī)學(xué)學(xué)會于2013年5月推出了美國精神障礙分類與診斷標(biāo)準(zhǔn)的最新版本——《精神障礙診斷與統(tǒng)計手冊（第五版）》（DSM-5）。DSM被譽為精神障礙領(lǐng)域的"圣經(jīng)"，是一本美國及其他國家常用的診斷精神障礙的指導(dǎo)手冊。為了能進(jìn)一步改進(jìn)精神疾病的診斷、治療、科研和在所有臨床工作者中產(chǎn)生一種共同語言，DSM-5對所有精神疾病進(jìn)行了重新定義和分類，并制訂了精確和具體的診斷標(biāo)準(zhǔn)，因而極具實用價值。本書（DSM-5-TR）是DSM-5的文本修訂版。該版本對DSM-5的絕大多數(shù)障礙的文本進(jìn)行了修訂，更新了相關(guān)特征、患病率、發(fā)展與病程、風(fēng)險與預(yù)后因素、與文化相關(guān)的診斷問題、診斷標(biāo)志物、與自殺想法或行為的相關(guān)性、鑒別診斷等內(nèi)容；增加了“延長哀傷障礙”的診斷；將最初發(fā)布的 DSM-5 診斷標(biāo)準(zhǔn)與對 70 多種障礙的修改（大部分做了澄清）相整合；全面更新了“介紹”和“使用手冊”部分，并為重要術(shù)語提供上下文背景，以指導(dǎo)臨床工作者使用；采用了更新的ICD-10-CM編碼，并新增了50多個有關(guān)物質(zhì)中毒、物質(zhì)戒斷和其他障礙的編碼。 DSM-5-TR是精神衛(wèi)生臨床工作者和研究人員不可或缺的臨床實踐資源，對于精神障礙的診斷具有重要的指導(dǎo)意義。期盼DSM-5-TR中文版的問世，為國內(nèi)廣大相關(guān)專業(yè)人員提供極具價值的參考和借鑒。

目　　錄第一部分 DSM-5 基礎(chǔ) 介紹································································································································5 使用手冊 ·······················································································································21 DSM-5 司法謹(jǐn)慎使用聲明 ···························································································29 第二部分診斷標(biāo)準(zhǔn)與編碼神經(jīng)發(fā)育障礙 ···············································································································35 精神分裂癥譜系及其他精神病性障礙 ··········································································97 雙相及相關(guān)障礙 ·········································································································135 抑郁障礙 ····················································································································· 171 焦慮障礙 ····················································································································· 209 強迫及相關(guān)障礙 ········································································································ 257 創(chuàng)傷及應(yīng)激相關(guān)障礙 ··································································································289 分離障礙 ····················································································································· 323 軀體癥狀及相關(guān)障礙 ··································································································343 喂食及進(jìn)食障礙 ·········································································································365 排泄障礙 ····················································································································· 391 睡眠-?覺醒障礙 ··········································································································399 性功能失調(diào) ················································································································· 469 性別煩躁 ····················································································································· 501 破壞性、沖動控制及品行障礙 ··················································································· 511 精神障礙診斷與統(tǒng)計手冊（第五版-修訂版）（DSM-5-TR）物質(zhì)相關(guān)及成癮障礙 ··································································································533 神經(jīng)認(rèn)知障礙 ············································································································· 657 人格障礙 ····················································································································· 721 性欲倒錯障礙 ············································································································· 765 其他精神障礙和額外編碼 ··························································································789 藥物所致的運動障礙及其他藥物不良反應(yīng) ································································793 可能成為臨床關(guān)注焦點的其他狀況 ···········································································807 第三部分新出現(xiàn)的量表和模式評估量表 ····················································································································· 827 文化與精神障礙診斷 ··································································································841 人格障礙的 DSM-5 替代模式 ····················································································859 需要進(jìn)一步研究的狀況 ······························································································877 附錄 DSM-5-TR 診斷和 ICD-10-CM 編碼的英文字母排序 ··············································899 DSM-5-TR 診斷和 ICD-10-CM 編碼的數(shù)字排序 ······················································943 索引 ·························································································································· 1001

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